v3.20.4
Financial Instruments and Fair Value Measures - Financial Instruments (Details)
£ in Millions, SFr in Millions
12 Months Ended
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2020
EUR (€)
company
Dec. 31, 2020
USD ($)
company
May 31, 2020
EUR (€)
Dec. 31, 2019
EUR (€)
Dec. 31, 2019
USD ($)
Dec. 31, 2019
GBP (£)
Dec. 31, 2019
CHF (SFr)
Sep. 30, 2019
USD ($)
Derivative instruments, notional amount and fair value                      
Number of outstanding derivative instruments containing credit risk contingent features | company       0 0            
Aggregate principal amount of senior Euro notes | €           € 700,000,000          
Amount excluded from the assessment of effectiveness for cash flow hedges $ 0 $ 0                  
Amount excluded from the assessment of effectiveness for fair value hedges 0 0                  
Fair value - Derivatives in asset position         $ 189,000,000     $ 53,000,000      
Fair value - Derivatives in liability position         166,000,000     132,000,000      
Designated as hedging instrument | Net investment hedges | Senior notes                      
Derivative instruments, notional amount and fair value                      
Aggregate principal amount of senior Euro notes | €       € 6,600,000,000     € 3,600,000,000        
Designated as hedging instrument | Foreign currency forward exchange contracts                      
Derivative instruments, notional amount and fair value                      
Treasury rate lock gain recognized in other comprehensive income (loss) $ (71,000,000) (5,000,000) $ 175,000,000                
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments         1,500,000,000     1,000,000,000.0      
Duration of forward exchange contracts 18 months                    
Approximate length of time over which accumulated gains and losses will be recognized in cost of products sold 6 months                    
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Prepaid expenses and other                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         2,000,000     3,000,000      
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Accounts payable and accrued liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         82,000,000     14,000,000      
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other assets                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         0     0      
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other long-term liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         6,000,000     0      
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments       € 971,000,000     € 971,000,000   £ 204 SFr 62  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Prepaid expenses and other                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         0     0      
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Accounts payable and accrued liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         11,000,000     24,000,000      
Designated as hedging instrument | Treasury rate lock agreements                      
Derivative instruments, notional amount and fair value                      
Treasury rate lock gain recognized in other comprehensive income (loss) $ 0 383,000,000 0                
Designated as hedging instrument | Treasury rate lock agreements | Cash flow hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments                     $ 10,000,000,000.0
Designated as hedging instrument | Interest rate swap contracts                      
Derivative instruments, notional amount and fair value                      
Treasury rate lock gain recognized in other comprehensive income (loss) $ (53,000,000) $ 4,000,000 $ 0                
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments         2,300,000,000     2,300,000,000      
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Prepaid expenses and other                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         0     0      
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Accounts payable and accrued liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         14,000,000     0      
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other assets                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         0     3,000,000      
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other long-term liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         20,000,000     0      
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments         4,800,000,000     10,800,000,000      
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Prepaid expenses and other                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         7,000,000     0      
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Accounts payable and accrued liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         0     2,000,000      
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other assets                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         131,000,000     28,000,000      
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other long-term liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         0     74,000,000      
Not designated as hedging instrument | Foreign currency forward exchange contracts                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments         8,600,000,000     7,100,000,000      
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position         49,000,000     19,000,000      
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in liability position         $ 33,000,000     $ 18,000,000